Specifities of delivery methods of pregnant with oligohydramnios

2017 ◽  
pp. 65-68
Author(s):  
L.I. Aliyeva ◽  
◽  
E.M. Aliyeva ◽  
A.D. Ismaylova ◽  
T.N. Akhmedova ◽  
...  

The objective: to study the rate of different obstetric pathologies followed by oligohydramnios, and to determinate the specifities of delivery methods in pregnant with oligohydramnios. Materials and methods. There was done the retrospective analysis of 100 birth histories of pregnant with oligohydramnios. Эt was confirmed, that the cause for oligohydramnios in 54% of cases was premature rupture of membranes (PROM), in 10% of cases intrauterine growth restriction (IUGR), dead fetus – in 19%, congenital abnormalities of the fetus in 8% and moderate and severe preeclampsia in 9% cases. The rate of the spontaneous labor was 57%; 12% of labors was induced and 37% ended by cesarean section. Results. The study showed that spontaneous labor (n=51) resulted in 47% of cases with very early labor, 41.1% of cases with early premature labor, and 11.8% with premature labor. In case of induced labor (n=12), the main indication for labor induction were dead fetus (n=9), and congenital abnormalities of the fetus (n=3). In 83.3% of cases induction of the labor was perfomed in 22-28, in 16% of cases in 29-31 weeks of gestation. Conclusion. The rate of cesarean delivery in pregnant with oligohydramnios was 37%. The main indications for cesarean birth were: dead fetus, uterine car – 100%, severe preeclampsia – 18.2%, PROM – 13.2%, and breach presentation and acute hypoxia in 12.1% of cases. So, pregnant with oligohydramnios are in risk group for premature birth. Key words: oligohydramnios, dead fetus, premature rupture of membranes, congenital abnormalities of the fetus, premature birth.

2019 ◽  
Vol 19 (4) ◽  
pp. 284 ◽  
Author(s):  
Yasmeen A. Haseeb

Bariatric surgery (BS) is a novel treatment for weight reduction with longer lasting health benefits. This review aimed to summarise the available evidence regarding the fetomaternal outcomes and the most common challenges and complications in pregnancies following BS. Google Scholar (Google LLC, Mountain View, California, USA) and PubMed<sup>®</sup> (National Library of Medicine, Bethesda, Maryland, USA) databases were searched for articles published until December 2018. A total of 64 articles were included in this review and results showed that BS mitigates the risk of gestational diabetes mellitus, hypertensive disorders in pregnancy and fetal macrosomia. However, it can also have detrimental effects on fetomaternal health. There is paucity of data regarding small for gestational age intrauterine growth restriction, premature rupture of membranes and longterm effects on the children born to women who underwent BS.Keywords: Bariatric Surgery; Nutritional Deficiencies; Obesity; Pregnancy; Surgical Injuries.


2020 ◽  
pp. 63-65
Author(s):  
O.І. Krotik ◽  

The objective: to identify the features of pregnancy, childbirth, the postpartum period in patients with sexually transmitted infections. Materials and methods. A retrospective analysis of 150 pregnancy and childbirth histories was performed: the main group included 100 pregnant women with a history of sexually transmitted infections (STIs) and episodes of manifestations during this pregnancy and 50 pregnant women in the control group without this pathology. The exclusion criteria were pregnant women with sexually transmitted infections whose pregnancies ended in short-term abortions. Results. The threat of abortion was detected in 46% of the main group, against 26% of the control group. Oligohydramnios 13% in the main group against 8% in the control group. Preeclampsia in the main group 12%, against 5% in the control group. FGR in the main group 10% vs. 6% in the control. Placental dysfunction in the main group of 20% vs. 16% in the control. Bacterial vaginosis was 67% in the main group versus 14% in the control group. The risk of miscarriage, premature birth in the main group is 20% compared with the control group of 4%. Premature rupture of membranes was observed in 33% of women in the main group against 16% in the control group. Conclusions. The threat of abortion occurred in women of the main group (46%), which is 1.7 times more often than in the control group (26%). Oligohydramnios was observed in (13%) of the main group, which is 1.6 times more than in the control group (8%). Preeclampsia occurred 2 times more often in the main group (12%) than in the control group (6%). FGR occurred 1.7 times more often in the main group (10%) than in the control group (6%). Placental dysfunction was 1.25 times more common in the main group (20%) than in the control group (16%). A high percentage of bacterial vaginosis (67%) was observed in patients of the main group, which is 4.8 times higher than in the control group (14%). The risk of miscarriage, premature birth in the main group was higher (20%) and was observed 5 times more often than in the control group (4%). Premature rupture of membranes is observed in (33%) women in the main group, which is 2 times higher than in the control group (16%). Keywords: sexually transmitted infections (STIs), pregnancy, childbirth.


Author(s):  
Katherine S. Kohari ◽  
Christian M. Pettker

Antibiotics for preterm prelabor rupture of membranes (PPROM) have been shown to prolong the length of pregnancy as well as improve neonatal outcomes as demonstrated by the landmark article by Mercer et al. PPROM complicates 3% of all pregnancies, and approximately one-half of patients will deliver within 1 week of membrane rupture. Infection is thought to play a role in both the etiology of PPROM and subsequent maternal and neonatal complications. Premature birth further complicates neonatal outcomes, therefore prolongation of pregnancy after PPROM is essential for risk reduction. Administration of broad spectrum antibiotics have been associated with prolonged latency in women with PPROM at less than 32 weeks and 0 days of gestation as well as improved neonatal outcomes.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Desi pramita sari Desi Pramita sari

Premature rupture of membranes can cause various complications such as infection, prolonged parturition, postpartum hemorrhage, maternal morbidity and mortality, while in the fetus PROM can cause premature birth, decreased umbilical cord, hypoxia and secondary asphyxia. Based on the data taken at Batam city, the highest number of PROM cases from 3 hospitals was 546 cases, Harapan Bunda’s Hospital. This study aims to determine relationship Parity with premature rupture of membranes at Harapan Bunda Hospital Batam City. This research used method quantitative analitic survey with cross sectional design with 60 samples. The Conclusion the results obtained were there is relationship parity with premature rupture of membranes (p value = 0,001). Suggestions to clients and community to increase their knowledge about the cause PROM so that they can prevent or detect early complications that will occur in the future.


Author(s):  
Maha Alhainiah ◽  
Elaf Aljifry ◽  
Ayman Alghamdi ◽  
Lujain Alrabghi ◽  
Abdullah Alharbi ◽  
...  

Uterine fibroid is one of the most common intrauterine masses among females at the reproductive age. Pregnancy and uterine fibroids are highly correlated. Pregnancy-related hormones influence the size of uterine fibroids, and fibroids have many impacts on pregnancy. Although most if the uterine fibroids are asymptomatic during pregnancy, serious complications may occur. The main complications include abortion, premature rupture of membranes, premature labor, abruptio placentae, peripartum hemorrhage, fetal malpresentation, fetal intrauterine growth retardation, small for gestational age infants, and fetal anomalies. The main risk factors for complications are related to the fibroid number, size, volume, location, and type. Large, multiple, retroplacental, submucosal, subserosal, pedunculated, or low-lying fibroids carries the highest risk for complications during pregnancy. This review will address the prevalence of uterine fibroids during pregnancy, its effects, and complications.


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